Organization
EMEX BEHAVORAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA OLUKITIBI (PMHNP- BC)
(214) 218-6302
Entity
Organization
Contact information
Practice address
410 NW 11TH ST STE 107, GRAND PRAIRIE, TX 75050-5416
(214) 218-6302
Mailing address
410 NW 11TH ST STE 107, GRAND PRAIRIE, TX 75050-5416
(214) 218-6302
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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